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MELANIE ELAINE GLENNON CRNP
NPI 1104175660
Nurse Practitioner in Erie, PA

Active since August 30, 2012PECOS Enrolled
93.78/100
CMS Quality Rating
1910 SASSAFRAS ST, SUITE 200, ERIE, PA 16502(814) 452-7879(814) 455-2628 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melanie Elaine Glennon Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANIE ELAINE GLENNON CRNP (NPI 1104175660) is an individual nurse practitioner in Erie, Pennsylvania, licensed in Pennsylvania (SP012408) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104175660
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELANIE ELAINE GLENNONCredential: CRNP
Location Address1910 SASSAFRAS ST, SUITE 200Erie, PA 16502-2716
Mailing Address1910 Sassafras St, Suite 200Erie, PA 16502-2716 · (814) 452-7879 · Fax (814) 455-2628
Phone(814) 452-7879
Fax(814) 455-2628
Sole ProprietorNo
Enumeration DateAugust 30, 2012
Last NPPES UpdateMay 5, 2014
✔ NPI 1104175660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP012408
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1910 SASSAFRAS ST, Erie, PA 16502
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanie Elaine Glennon Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Melanie Glennon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincent Medical Education And Research Institute Inc
0.3 mi
Internal Medicine
2314 SASSAFRAS ST, 2ND FLOOR - ADMIN OFFICE
Erie, PA 16502
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 483 clinicians in this Medicare group
NPI 1902881477 (814) 452-5043
Consonant Healing Medical Associates
269 mi
Surgery
8403 COLESVILLE RD STE 1100
Silver Spring, MD 20910
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 147 clinicians in this Medicare group
NPI 1588122535 (301) 928-5012
Healing Partners Plus PLLC
419 mi
Internal Medicine
2020 CALAMOS CT STE 250
Naperville, IL 60563
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 88 clinicians in this Medicare group
NPI 1063217545 (888) 402-0202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE A REICHERT OTR
Occupational Therapist
1910 SASSAFRAS ST, SUITE 200
ERIE, PA 16502
Erie County (814) 452-5231
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
Counselor (Professional)
1910 SASSAFRAS ST, SUITE 100
ERIE, PA 16502
Erie County (814) 452-5490
DONNA M SNYDER LCSW, CAC DIPLOMATE
Social Worker (Clinical)
1910 SASSAFRAS ST, SUITE 100
ERIE, PA 16502
Erie County (814) 452-5490
MRS. JULIA ROSE COPEN LCSW
Social Worker (Clinical)
1910 SASSAFRAS ST
ERIE, PA 16502
Erie County (814) 452-5843
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC.
Family Medicine
1910 SASSAFRAS ST, SUITE 100
ERIE, PA 16502
Erie County (814) 452-7374
DR. EDWARD J. MCVAY M.D.
Preventive Medicine (Occupational Medicine)
1910 SASSAFRAS ST, SUITE 200
ERIE, PA 16502
Erie County (814) 452-7879
SAINT VINCENT REHAB SOLUTIONS LLC
Occupational Therapist
1910 SASSAFRAS ST, SUITE 200
ERIE, PA 16502
Erie County (814) 452-5231
NEIL H FALLER PT
Physical Therapist
1910 SASSAFRAS ST, SUITE 200
ERIE, PA 16502
Erie County (814) 452-5231

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie Glennon's NPI number?

The NPI number for Melanie Glennon is 1104175660. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Melanie Glennon located?

Melanie Glennon practices at 1910 Sassafras St Suite 200, Erie, PA 16502. The listed phone number is (814) 452-7879.

What is Melanie Glennon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melanie Glennon enrolled in Medicare?

Yes. Melanie Glennon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Melanie Glennon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Glennon reassigns Medicare benefits to 3 organizations: St Vincent Medical Education And Research Institute Inc (Erie, PA), Consonant Healing Medical Associates (Silver Spring, MD) and Healing Partners Plus PLLC (Naperville, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melanie Glennon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melanie Glennon was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.